Organization
ALEXANDER KISS MD,PA
Active
Other names
EAST PASCO NEUROLOGICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER KISS MD (OWNER)
(813) 788-0378
Entity
Organization
Contact information
Practice address
38168 MEDICAL CENTER AVE, ZEPHYRHILLS, FL 33540-1380
(813) 788-0378
(813) 788-6688
Mailing address
38168 MEDICAL CENTER AVE, ZEPHYRHILLS, FL 33540-1380
(813) 788-0378
(813) 788-6688
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME0056104
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061272300
—
FL
01
—
FE836A
PTAN
FL
Enumeration date
06/30/2011
Last updated
09/15/2011
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